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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-2697

2. Registrant Information.

Registrant Reference Number: Prosar 1-18590412

Registrant Name (Full Legal Name no abbreviations): The Hartz Mountain Corporation

Address: 400 Plaza Drive

City: Secaucus

Prov / State: New Jersey

Country: USA

Postal Code: 07094-3688

3. Select the appropriate subform(s) for the incident.

Domestic Animal

4. Date registrant was first informed of the incident.


5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.


Product Description

7. a) Provide the active ingredient and, if available, the registration number and product name (include all tank mixes). If the product is not registered provide a submission number.


PMRA Registration No.       PMRA Submission No.       EPA Registration No.

Product Name: Flea/Tick Collar (non-specific)

  • Active Ingredient(s)

7. b) Type of formulation.

Application Information

8. Product was applied?


9. Application Rate.


10. Site pesticide was applied to (select all that apply).

Site: Animal / Usage sur un animal domestique

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

The collars were applied to 3 rabbits on 05/23/2009. NOTE: This product is not labelled for use on rabbits.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?


Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Other / Autre

specify Lagomorph

3. Breed


4. Number of animals affected


5. Sex



6. Age (provide a range if necessary )


7. Weight (provide a range if necessary )


8. Route(s) of exposure


9. What was the length of exposure?

>24 hrs <=3 days / >24 h <=3 jours

10. Time between exposure and onset of symptoms

>24 hrs <=3 days / >24 h <=3 jours

11. List all symptoms


  • General
    • Symptom - Lethargy

12. How long did the symptoms last?

>8 hrs <=24 hrs / > 8 h < = 24 h

13. Was medical treatment provided? Provide details in question 17.


14. a) Was the animal hospitalized?


14. b) How long was the animal hospitalized?

15. Outcome of the incident

Fully Recovered / Complètement rétabli

16. How was the animal exposed?

Treatment / Traitement

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

1-18590412: A reporter (rabbit owner) called on 05/25/2009 to report the exposure of her 3 rabbits to a flea and tick collar containing the active ingredient Tetrachlorvinphos. According to the reporter, the collars were applied to the rabbits on 05/23/2009. The rabbits were noted to be lethargic on the day of the report. The reporter stated that the rabbits did not lick or chew on the collars. The reporter removed the collars prior to the report. The reporter was advised that the product is not intended for use on rabbits, and that she should speak with her veterinarian regarding appropriate products to use for flea and tick control. The reporter was also advised to wash the application site with a washcloth and mild soap to remove any product reside. A recommendation was made to not fully bathe the rabbits as they can easily injure their backs by trying to jump out of the tub. A recommendation was made to have the rabbits evaluated by a veterinarian should the signs persist or new signs develop. On follow up, the reporter stated that she bathed the rabbits' necks and their signs resolved within 24 hours. No further information was obtained. NOTE: The product is not labelled for use on rabbits.

To be determined by Registrant

18. Severity classification (if there is more than 1 possible classification


19. Provide supplemental information here